A. Floodwaters are frequently contaminated with hazardous chemicals. 19. B) The care of the patient is carefully planned and monitored by the primary care provider. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. of A mutual fund is required to use the services of a mutual fund custodian. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 53. immunizations and screenings included in benefits 54. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Health care services are provided to subscribers by physicians employed by the HMO. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. The Healthcare Effectiveness Data and Information Set (HEDIS), sponsored by the National Committee for Quality Assurance, consists of performance measures used to evaluate managed care plans (e.g., rate of Pap smears performed among women of a certain age). fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. a. proximal radius 26. A Colles fracture occurs at the: 27. In economic terms, taxation transfers wealth from households or businesses to the . The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. which of the following statements describes managed care? Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. This question suggests which of the following? es importante los pasajeros seguir las instrucciones de seguridad Purchasing a generator as an alternative power supply. C) The patient gets the bill and pays out-of-pocket costs. Select all that apply. Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. The enrollee will have greater out-of-pocket expenses, as he must pay both a large deductible (usually $200 to $250) and 20 to 25 percent coinsurance charges, similar to those paid by persons with fee-for-service plans. This idea supports which of the following economic theories for which Rawles was a proponent? C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. Which of the following is a characteristic of primary healthcare? 6. b. MA NCCT EXAM Flashcards | Quizlet 20. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. . In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Patients should be well informed about care and treatment options. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. A. Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. which of the following statements describes managed care? a. 2.12) Which of the following does not apply to the role of a medical assistant? Even though smoke residues can be harmful to livestock, if livestock have been exposed to smoke residues they can be used for human consumption without concern. d. Integrated delivery system (IDS) 16. Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage Which of the following statements would be most appropriate for the nurse to make? B. True or false? 30. results. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. e. D. All of the above. The US is the only developed nation without a system of universal healthcare, with a large proportion of its population not carrying health insurance, a . Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. B. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. A. The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. The use of remedies made from naturally occurring plant, animal, or mineral substances. Which of the following statements is correct regarding floods? A) The contribution rate is fixed. The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. A. is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, makes it possible to compare the performance of health plans on an "apples-to-apples" basis. Which of the following statements describes cyberwarfare? D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. I. Essay: Managed Care: Promise and Concerns | Health Affairs B. 4. It is necessary for it to be raining to be struck by lightning. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. C. Only if flowing water is above your waist is it too high to cross. a. which of the following statements describes managed care? Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. Managed care plans are a type of health insurance. 21. The early retirement age is the earliest age at which an employee can. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Accreditation is a voluntary process that a health care facility or organization (e.g., hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law. A. Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . A. Livestock are resistant to heat stress. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. A) There is minimal purchasing-oriented paperwork. retire without receiving actuarially reduced benefits. The IPA is an intermediary (e.g., physician association) that negotiates the HMO contract and receives and manages the capitation payment from the HMO, so that physicians are paid on either a fee-for-service or capitation basis. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. B. You ask her the reason for seeing her provider. A. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. B) The contribution rate is fixed, and the retirement benefit is known in advance. Select all that apply. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Direct contract model Which of the following statements best describes an integrated delivery system? John Rawles suggested that in making decisions of distributive justice, one should examine the situation behind a "veil of ignorance" so that no one would be able to design principles to favor his or her particular condition. OPEN-PANEL HMO, Direct Contract Model. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). d. Network model Relate What evidence indicates that oceans formed early in Earth's geologic history? A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Individual Practice Association (IPA) HMO Network Model HMO. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. A) The insurance company pays all or most of the costs. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Premiums and other revenue are paid to the HMO. Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. Which of the following statements accurately describes an aspect of home healthcare? Which of the following statements characterizes effective disaster preparedness plans? A) Managed care systems control the cost of care with a lower quality of care. Possible Outcomes for Expected Value Damages, 2. 2. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. d. ICT is an umbrella term that includes any communication device, encompassing radio, television, cell phones, computer and network hardware, satellite systems and so on, as well as the various services and appliances with them such as video conferencing and distance learning. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. A) They actively recruit vulnerable populations. Institutions vary in their level of formality and informality. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. 3. Which of the following statements iscorrectregarding the human food supply in disasters? Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). ch 6 Flashcards | Quizlet Most countries charge a tax on an individual's income as well as on corporate income. B. Annual physical examinations are encouraged for the early detection of health problems. which of the following statements describes managed care? Answer: Disaster advice from the USDA is provided by the Cooperative Extension Service. An integrated delivery system may also be referred to by any of the following names: integrated service network (ISN), delivery system, vertically integrated plan (VIP), vertically integrated system, horizontally integrated system, health delivery network, or accountable health plan. The most common health plans available today often include features of managed care. 13. Study Resources. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. 5. Provide quality health care while containing costs. Which of the following best describes vendor managed - Course Hero Up-to-date lists of special administrative procedures required by each managed care plan contract B. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. B. Nurses who are employed in home care have a variety of responsibilities. is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. yo poner sus cosas debajo del asiento A coup d'tat (/ k u d e t / (); French for 'stroke of state'), also known as a coup or an overthrow, is a seizure and removal of a government and its powers. (A) Give the symmetry number for each of the following molecules: which of the following statements describes managed care? D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. ch.08 Flashcards | Quizlet (a) CO2\mathrm{CO}_2CO2, (b) O3\mathrm{O}_3O3, (c) SO3\mathrm{SO}_3SO3, (d) SF6\mathrm{SF}_6SF6, and (e) Al2Cl6\mathrm{Al}_2 \mathrm{Cl}_6Al2Cl6. These are designed to manage . A) The U.S. healthcare system has been experiencing a financial crisis. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. Ch. 3 Managed Health Care Flashcards | Quizlet c. Which of the following statements accurately describe an aspect of managed care? Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). Tax-exempt account that is used to pay for health care expenses. National Committee for Quality Assurance (NCQA). Which of the following statements about the nursing process is true. The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Why is this plan called a third-party payer? Which of the following statements accurately describe an aspect of managed care? Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Even though managed care. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. Health Savings Account (HSA); Health Savings Security Account (HSSA). 24 2. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. C) The nurse is considered the gatekeeper in the managed care system. Which of the following is NOT relevant to the care of animals in floods? Compute the expected value of the damages and fill in the chart below. Which of the following statements accurately describe an aspect of managed care? What is Managed Care? | Cigna Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Which one of the following statements best describes the family caregiver burdens of providing home care ? Fixed-price reimbursement is a feature of managed care. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? a payment system based on Diagnosis related groups (DRGs). What statement describes the most important function of the health record? is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Select all that apply. D. For a State to qualify for Federal disaster assistance from FEMA, it is best if the State has laws that are consistent with those of Federal emergency management law. . b. Which of the following correctly describes the role of the USDA in disasters? Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. a. Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. Also write ELL above each elliptical clause. 9. Which of the following is a natural consequence of utilitarian forms of health care financing? universal health insurance. B. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. Chapter 08- Healthcare Delivery Systems - 1. Which of the following Which of the following ethical theories of justice are based upon the rule that it is good to maximize the greatest good for the greatest number of people? A. D) Risk management is a spontaneous response to an unexpected incident. A. c. A. Chapter 2 Quiz Flashcards | Quizlet Federal agencies are usually activated directly in response to requests from local emergency managers. 2. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. [11 Proven Strategies], 20 Best Companies for Employee Benefits & Perks 2022, Learning Graphic Design: 9 Easy First Steps for Beginners - Self-Made Designer, Solitario clsico - Solitario de tres turnos, FR Legends Supra MOD APK (2022) [Unlimited Money] Free Download, Cops can't break these rules if you're pulled over | finder.com, Massey Ferguson: Tractor Warning Light Meanings. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. llegar a tiempo A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. Health care can be purchased or given freely in Country A, but there is no entitlement program to ensure basic health care to vulnerable people. A. Disasters can be a threat to animal well-being. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Marcos and his horse will lead the tyler fourth of july parade. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. which of the following statements describes managed care? Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. withdrawn to cover qualified medical expenses is tax-free. Then, identify the type of clause by writing one of the following abbreviations above it: ADJ for adjective clause, ADV for adverb clause, or N for noun clause. Do you think Krauthammer fairly characterizes libertarian thinking? Select all that apply. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. Accreditation of Managed Care Organizations. Most employees are covered under some form of managed care plan. 26. 6. B. Composting is no longer used to dispose of any livestockcarcasses. es mejor todo el mundo tomar su asiento en seguida Which of the following statements accurately describes disaster assistance? A. 10. e. Staff model (Network providers are usually reimbursed on a fee-for-service basis. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. 1 Group model e. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? B) Risk management is concerned with reducing exposure to legal liability. 3. 4. Although you will first check with her provider, you are sure she is to see which of the following? Which of the following is true? State disaster declarations can only be made when more than one community is affected. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. 1 . Juan trabaja de asistente de vuelo y habla con los pasajeros. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Which of the following statements is correct about the behavior of landslides? C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. The marketing department is launching a new advertising campaign. which of the following statements describes managed care? Preferred provider organization (PPO) Managed care plan enrollees receive care from a ________ selected from a list of participating providers. 15. b. distal radius Which of the following is a trend to watch in healthcare delivery? a. 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. D. Small amounts of snow never have devastating effects on a community. A. B) genetics and income. Beginning in 2006, the Physician Quality Reporting System (formerly called Physician Quality Reporting Initiative or PQRI system) established a _____ incentive for eligible professionals who participate in a ________ quality reporting program. D. Heat stress in animals only occurs under conditions of extreme heat. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. C. Disasters are declared starting at the local, then state, then federal level. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). Which of the following is true of long-term care facilities? Which of the following describes one of the elements that the nurse practitioner has successfully met? Which of the following statements describes cyberwarfare? Unit 17 Quiz Flashcards | Quizlet 2.6) Which of the following best describes the alternative medicine modality of homeopathy? A. 2.7) How many years of a residency program is required for newly graduated M.D.s choosing to specialize in family practice, internal medicine, or pediatrics? Discontinued Capitation, adopted fee-for-service. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Managed care plans emphasize cost controls and preventative care. Course Hero is not sponsored or endorsed by any college or university. Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system? C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. A. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. In each of the given sentences, underline the subordinate clause. Which of the following statements accurately describes the activation of federal agencies in disasters? suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; 1. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. B. B. Which of the following statements arecorrect? Included in HEDIS is the________, which measures members' satisfaction with their care in areas such as claims processing, customer service, and getting needed care quickly.

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